Mapping And Directing Branched-Chain Amino Acid Metabolism In Health And Insulin Resistance

Loading...
Thumbnail Image
Degree type
Doctor of Philosophy (PhD)
Graduate group
Cell & Molecular Biology
Discipline
Subject
BCAA
diabetes
flux
isotope tracing
metabolism
Biochemistry
Biology
Physiology
Funder
Grant number
License
Copyright date
2021-08-31T20:20:00-07:00
Distributor
Related resources
Author
Neinast, Michael Dale
Contributor
Abstract

Unbiased metabolomics studies in human serum have identified changes in branched-chain amino acid (BCAA) levels as biomarkers of diabetes, heart failure, and some forms of cancer. However, the changes in BCAA metabolism in each of these cases, and even in the normal state, have remained elusive. Using novel heavy-isotope infusions, I quantified whole-body BCAA metabolism in healthy mice, establishing a foundation for understanding BCAA metabolism. Most tissues supply 1-5% of their TCA carbons from BCAAs, but the pancreas supplies 20% of its TCA carbons from BCAAs. Novel modeling of whole-body metabolic flux indicates the greatest portion of systemic BCAA oxidation occurs in skeletal muscle, brown fat, and liver. Genetic and pharmacologic suppression of branched-chain alpha-ketoacid dehydrogenase kinase, a regulatory kinase, induces BCAA oxidation primarily in skeletal muscle of healthy mice. While insulin acutely increases BCAA oxidation in cardiac and skeletal muscle, chronically insulin-resistant mice show blunted BCAA oxidation in adipose tissues and liver, shifting BCAA oxidation toward muscle. Pharmacologic activation of BCAA oxidation in diabetic mice reduced plasma BCAAs and slightly improved insulin sensitivity but did not reverse diabetes. In contrast, genetic activation of BCAA oxidation specifically in skeletal muscle had no impact on glucose tolerance or insulin sensitivity even though plasma BCAAs were reduced. Together, this work provides a quantitative framework for understanding BCAA metabolism, suggests that activation of BCAA oxidation in some tissue other than skeletal muscle improves insulin sensitivity, and decouples the plasma BCAA concentration from insulin resistance.

Advisor
Zoltan P. Arany
Date of degree
2020-01-01
Date Range for Data Collection (Start Date)
Date Range for Data Collection (End Date)
Digital Object Identifier
Series name and number
Volume number
Issue number
Publisher
Publisher DOI
Journal Issue
Comments
Recommended citation